Jeffrey Lysdale in Lake Havasu City - Dentist
Jeffrey Lysdale - NPI 1083825004
Jeffrey Lysdale is a Dentist in Lake Havasu City, Arizona. Jeffrey Lysdale practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jeffrey Lysdale is 1083825004. The last update date is 2008-08-20.
Jeffrey Lysdale's current location address is 1830 Kirk Drive, Lake Havasu City, Arizona. You can contact this provider via phone number 9493517343. The mailing address for Jeffrey Lysdale is 1830 Kirk Drive, Lake Havasu City, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Lysdale |
|---|---|
| Address | 1830 Kirk Drive, Lake Havasu City, Arizona |
| Phone Number | 9493517343 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1083825004 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2008-08-20 |
Provider Mailing Address Detail
| Address | 1830 Kirk Drive |
|---|---|
| City | Lake Havasu City |
| State | Arizona (AZ) |
| Post Code | 86404 |
| Phone Number | 9493517343 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4186 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Jeffrey Lysdale by the Centers for Medicare & Medicaid Services?
The Jeffrey Lysdale has been issued the NPI (National Provider Identifier) 1083825004 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jeffrey Lysdale is physically located?
The Jeffrey Lysdale is physically situated at the following address: 1830 Kirk Drive, Lake Havasu City, AZ, 86404.
What is Jeffrey Lysdale's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeffrey Lysdale's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
When did the Jeffrey Lysdale receive its 1083825004?
The Jeffrey Lysdale was issued its 1083825004 on 2007-05-24, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Jeffrey Lysdale, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeffrey Lysdale, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-08-20.
NPI Number: 1124025044
Address: 9244 W Atlantic Blvd Apt 1238, Coral Springs, FL